Mediastinales Lymphknotenstaging mittels Endobronchialem Ultraschall (EBUS) bei Patienten mit peripherem Bronchialcarcinom und unauffälligem N – Status im CT – Ein Vergleich beider Methoden

Pneumologie ◽  
2007 ◽  
Vol 61 (S 1) ◽  
Author(s):  
K Woelke ◽  
G Laier-Groeneveld
Keyword(s):  
Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 63-68
Author(s):  
Schweizer ◽  
Seifert ◽  
Gemsenjäger

Fragestellung: Die Bedeutung von Lymphknotenbefall bei papillärem Schilddrüsenkarzinom und die optimale Lymphknotenchirurgie werden kontrovers beurteilt. Methodik: Retrospektive Langzeitstudie eines Operateurs (n = 159), prospektive Dokumentation, Nachkontrolle 1-27 (x = 8) Jahre, Untersuchung mit Bezug auf Lymphknotenbefall. Resultate: Staging. Bei 42 Patienten wurde wegen makroskopischem Lymphknotenbefall (cN1) eine therapeutische Lymphadenektomie durchgeführt, mit pN1 Status bei 41 (98%) Patienten. Unter 117 Patienten ohne Anhalt für Lymphknotenbefall (cN0) fand sich okkulter Befall bei 5/29 (17%) Patienten mit elektiver (prophylaktischer) Lymphadenektomie, und bei 2/88 (2.3%) Patienten ohne Lymphadenektomie (metachroner Befall) (p < 0.005). Lymphknotenrezidive traten (1-5 Jahre nach kurativer Primärtherapie) bei 5/42 (12%) pN1 und bei 3/114 (2.6%) cN0, pN0 Tumoren auf (p = 0009). Das 20-Jahres-Überleben war bei TNM I + II (low risk) Patienten 100%, d.h. unabhängig vom N Status; pN1 vs. pN0, cN0 beeinflusste das Überleben ungünstig bei high risk (>= 45-jährige) Patienten (50% vs. 86%; p = 0.03). Diskussion: Der makroskopische intraoperative Lymphknotenbefund (cN) hat Bedeutung: - Befall ist meistens richtig positiv (pN1) und erfordert eine ausreichend radikale, d.h. systematische, kompartiment-orientierte Lymphadenektomie (Mikrodissektion) zur Verhütung von - kurablem oder gefährlichem - Rezidiv. - Okkulter Befall bei unauffälligen Lymphknoten führt selten zum klinischen Rezidiv und beeinflusst das Überleben nicht. Wir empfehlen eine weniger radikale (sampling), nur zentrale prophylaktische Lymphadenektomie, ohne Risiko von chirurgischer Morbidität. Ein empfindlicherer Nachweis von okkultem Befund (Immunhistochemie, Schnellschnitt von sampling Gewebe oder sentinel nodes) erscheint nicht rational. Bei pN0, cN0 Befund kommen Verzicht auf 131I Prophylaxe und eine weniger intensive Nachsorge in Frage.


1985 ◽  
Vol 15 (5) ◽  
pp. 855-861 ◽  
Author(s):  
G. Prégent ◽  
C. Camiré

Invitro cultures of Alnuscrispa (Ait.) Pursh and Alnusglutinosa (L.) Gaertn. were used to estimate critical foliage levels of selected nutrients for optimal growth and dinitrogen (N2) fixation. For A. crispa to obtain 90% of maximum growth and N2 fixation, foliar levels of 0.12% P, 0.13% Mg, <0.31% K, and <0.04% Ca on a dry weight basis were needed. For A. glutinosa, the critical levels were 0.138% P, 0.10% Mg, 0.29% Ca, and ~0.20% K. From all the deficiencies observed, P had the more pronounced effects on N status of both species.


2021 ◽  
Vol 13 (3) ◽  
pp. 401
Author(s):  
Cadan Cummings ◽  
Yuxin Miao ◽  
Gabriel Dias Paiao ◽  
Shujiang Kang ◽  
Fabián G. Fernández

Accurate and non-destructive in-season crop nitrogen (N) status diagnosis is important for the success of precision N management (PNM). Several active canopy sensors (ACS) with two or three spectral wavebands have been used for this purpose. The Crop Circle Phenom sensor is a new integrated multi-parameter proximal ACS system for in-field plant phenomics with the capability to measure reflectance, structural, and climatic attributes. The objective of this study was to evaluate this multi-parameter Crop Circle Phenom sensing system for in-season diagnosis of corn (Zea mays L.) N status across different soil drainage and tillage systems under variable N supply conditions. The four plant metrics used to approximate in-season N status consist of aboveground biomass (AGB), plant N concentration (PNC), plant N uptake (PNU), and N nutrition index (NNI). A field experiment was conducted in Wells, Minnesota during the 2018 and the 2019 growing seasons with a split-split plot design replicated four times with soil drainage (drained and undrained) as main block, tillage (conventional, no-till, and strip-till) as split plot, and pre-plant N (PPN) rate (0 to 225 in 45 kg ha−1 increment) as the split-split plot. Crop Circle Phenom measurements alongside destructive whole plant samples were collected at V8 +/−1 growth stage. Proximal sensor metrics were used to construct regression models to estimate N status indicators using simple regression (SR) and eXtreme Gradient Boosting (XGB) models. The sensor derived indices tested included normalized difference vegetation index (NDVI), normalized difference red edge (NDRE), estimated canopy chlorophyll content (eCCC), estimated leaf area index (eLAI), ratio vegetation index (RVI), canopy chlorophyll content index (CCCI), fractional photosynthetically active radiation (fPAR), and canopy and air temperature difference (ΔTemp). Management practices such as drainage, tillage, and PPN rate were also included to determine the potential improvement in corn N status diagnosis. Three of the four replicated drained and undrained blocks were randomly selected as training data, and the remaining drained and undrained blocks were used as testing data. The results indicated that SR modeling using NDVI would be sufficient for estimating AGB compared to more complex machine learning methods. Conversely, PNC, PNU, and NNI all benefitted from XGB modeling based on multiple inputs. Among different approaches of XGB modeling, combining management information and Crop Circle Phenom measurements together increased model performance for predicting each of the four plant N metrics compared with solely using sensing data. The PPN rate was the most important management metric for all models compared to drainage and tillage information. Combining Crop Circle Phenom sensor parameters and management information is a promising strategy for in-season diagnosis of corn N status. More studies are needed to further evaluate this new integrated sensing system under diverse on-farm conditions and to test other machine learning models.


2021 ◽  
Author(s):  
Jing Wang ◽  
Xuefa Wen ◽  
Sidan Lyu ◽  
Xinyu Zhang ◽  
Shenggong Li ◽  
...  

1989 ◽  
Vol 21 (1) ◽  
pp. 169-172 ◽  
Author(s):  
C.J. Smith ◽  
D.M. Whitfield ◽  
O.A. Gyles
Keyword(s):  

2006 ◽  
Vol 46 (8) ◽  
pp. 1077 ◽  
Author(s):  
B. W. Dunn ◽  
G. D. Batten ◽  
T. S. Dunn ◽  
R. Subasinghe ◽  
R. L. Williams

Straighthead is a ‘physiological’ disorder of rice, the symptoms being floret sterility, deformed florets and panicles and reduced grain yield. Straighthead in rice is difficult to investigate because of its unpredictable occurrence under field conditions. An experiment was conducted in south-eastern Australia in 1996 to investigate the effect of rate and timing of N fertilisation on growth and yield of rice. The presence of straighthead at this location gave a unique opportunity to study the influence of crop N status. This paper reports the influence of N application on straighthead symptoms during this experiment. A significant reduction of straighthead occurred with higher rates of N application. Application of 250 kg N/ha pre-flood, improved plant growth and vigour with subsequent increased uptake and accumulation of S, P, K, Mg, Cu, Mn and Zn in the plant at panicle initiation. The reduction of straighthead at high nitrogen rates may be due to improved uptake of several essential nutrients, and Cu may be a critical nutrient. This study and earlier observations have shown the application of optimal levels of pre-flood nitrogen to achieve grain yields greater than 10 t/ha may reduce straighthead severity in the Australian rice-growing environment. The results in this paper are not presented as recommendations to growers but a contribution to the currently limited literature on straighthead in Australia.


2018 ◽  
Vol 12 (3) ◽  
pp. 550-563
Author(s):  
Zhilu Sheng ◽  
Yongmei Huang ◽  
Kejian He ◽  
Narigele Borjigin ◽  
Hanyue Yang ◽  
...  

2006 ◽  
Vol 86 (4) ◽  
pp. 1037-1046 ◽  
Author(s):  
Yan Zhu ◽  
Yingxue Li ◽  
Wei Feng ◽  
Yongchao Tian ◽  
Xia Yao ◽  
...  

Non-destructive monitoring of leaf nitrogen (N) status can assist in growth diagnosis, N management and productivity forecast in field crops. The objectives of this study were to determine the relationships of leaf nitrogen concentration on a leaf dry weight basis (LNC) and leaf nitrogen accumulation per unit soil area (LNA) to ground-based canopy reflectance spectra, and to derive regression equations for monitoring N nutrition status in wheat (Triticum aestivum L.). Four field experiments were conducted with different N application rates and wheat cultivars across four growing seasons, and time-course measurements were taken on canopy spectral reflectance, LNC and leaf dry weights under the various treatments. In these studies, LNC and LNA in wheat increased with increasing N fertilization rates. The canopy reflectance differed significantly under varied N rates, and the pattern of response was consistent across the different cultivars and years. Overall, an integrated regression equation of LNC to normalized difference index (NDI) of 1220 and 710 nm of canopy reflectance spectra described the dynamic pattern of change in LNC in wheat. The ratios of several near infrared (NIR) bands to visible light were linearly related to LNA, with the ratio index (RI) of the average reflectance over 760, 810, 870, 950 and 1100 nm to 660 nm having the best index for quantitative estimation of LNA in wheat. When independent data were fit to the derived equations, the average root mean square error (RMSE) values for the predicted LNC and LNA relative to the observed values were no more than 15.1 and 15.2%, respectively, indicating a good fit. Our relationships of leaf N status to spectral indices of canopy reflectance can be potentially used for non-destructive and real-time monitoring of leaf N status in wheat. Key words: Wheat, leaf nitrogen concentration, leaf nitrogen accumulation, canopy reflectance, spectral index, nitrogen monitoring


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